For the purpose of estimating the incidence rate and clinico-epidemiol
ogical characteristics of sarcoidosis in Catalonia (a country comprisi
ng the provinces of Barcelona, Tarragona, Lleida and Girona, with a to
tal population of 6 million people), we did a retrospective study of n
ew cases diagnosed in the country's qualified hospitals during 1979 an
d the three-year period from 1986 to 1988. The annual incidence rate i
n the province of Barcelona was 1.2/100,000 in 1979 and 1.5/100,000 in
1988. 245 cases were diagnosed in Catalonia in the three-year period
covering 1986-88, the annual incidence rate being 1.36/100,000 inhabit
ants. We describe here the characteristics of this series of 245 cases
(which is the first one representative of the whole of Catalonia), an
d compare them with those of other series published previously. We con
clude that the incidence of sarcoidosis in our country is one of the l
owest in Europe, with no significant variations observed over ten year
s. The most relevant clinico-epidemiological characteristics are its c
lear predominance in women (3:1), and the high frequency of Lofgren's
syndrome (48% of cases), whose incidence is significantly higher in sp
ringtime.